Raleigh Neurology Associates, P.A., is a Medicare provider and accepts most major insurance plans. We provide insurance billing. You are responsible for anything not covered by your insurance.
Insurance carriers include:
- Aetna
- Blue Cross Blue Shield of North Carolina
- Cigna Healthcare
- First Carolina Care
- Humana Choice Care Network
- Medcost
- Medicaid
- Medicare (including Railroad and United Mine Workers)
- Patient Choice (includes Primary Physician Care)
- PPO Next
- Project Access (Pediatric Department does not participate)
- Provider Select
- Southcare PPO
- United Healthcare
- Wellpath Coventry (Includes Southcare PPO, First Health, Healthcare Preferred)
- a. PRIMA Duke Select can be seen by Dr. Goetzl, Dr. Naslund, Dr. Yerramsetty, Dr. Milowic, Dr. Freedman, Dr. Ferrell, Dr. Bowman and Dr. Bertics.
** Physical Therapy does not participate with Wellpath or BCBS Partners Medicare Choice. All other contracts are the same for all providers within the organization (with the exception of PRIMA Duke Select in Durham).**
Medicare Replacement Plans
Raleigh Neurology Associates, P.A. will file most Medicare Replacement plans as a courtesy to the patient. There may be times where, at the discretion of the management at RNA, we will not file a patient’s Medicare Replacement policy.
We are contracted with the following Medicare Replacement Plans:
- Advantra Freedom
- Aetna Medicare
- BCBS Medicare Choice (replacing Partners MCR Choice eff. 1-1-08)
- Cigna Medicare Access
- Evercare
- Humana Gold Choice
- Secure Horizons
- Today’s Options
- UHC Medicare Complete
Any other PFFS (Private-Fee-For-Service) plans we will file as a courtesy but do not have a contractual obligation to file. These plans will pay based on the current Medicare Fee Schedule and Raleigh Neurology will accept this fee schedule for these PFFS carriers. This does NOT mean that RNA will accept their insurance companies’ payment as payment in full, it simply means that we will not bill the patient for any amount determined to be “over and above customary” by their insurance company.
Some of these PFFS plans require authorization, if it is NOT a plan that we have a contract with then please inform the patient that they are out-of-network and have waiver signed each time they present to Raleigh Neurology for medical care.
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